| NPI | 1417572603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.022368) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 122589-SW-LICSW) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-07-21 |